医用生物蛋白胶治疗骶管囊肿

Curative effect of the fibrinogen gel for sacral canal arachnoid cyst

目的:评价医用生物蛋白胶治疗骶管囊肿的疗效。方法:19例骶管囊肿患者,男7例,女12例;年龄19～68岁,平均48.4岁;病程2周～7个月。囊肿部位9例在S1平面,4例在S1-S2平面,5例在S2平面,1例在S1-S3平面。11例采用囊肿壁大部切除,8例采用囊肿壁部分切除。之后均采用医用生物蛋白胶(FG胶)局部喷涂治疗。结果:19例平均随访21.3个月(13～30个月),临床症状完全消失18例,1例术后仍有解尿无力,2周后恢复。术后12个月复查MRI均无复发。结论:医用生物蛋白胶治疗骶管囊肿,操作简单、安全,效果好。术后患者症状消失快、恢复快、效果满意,是治疗骶管囊肿的一种有效可行的方法。

Objective：To evaluate curative effect of the fibrinogen gel for treating sacral canal arachnoid cyst. Methods：Nineteen patients with sacral canal arachnoid cysts included 7 males and 12 females;The average age was 48.4 years ranging from 19 to 68 years. The course was from 2 weeks to 7 months. Of all the patients ,9 were in level of S1 ,4 were in level of S1 to S2,5 were in level of S2,1 was in level of S1 to S3. Cystis wall greater partial excision adopted in 11 cases ,partial resection in 8 ,then all patients were treated by spray painting fibrinogen gel. Results：Nineteen patients were followedup for 13 to 30 months （mean 21.3 months）. The clinical symptom disappeared completely in 18 patients,and only one patient urinated incapably ,but after 2 weeks returned to normal. No one found recurrence by MRI after 12 months. Conclusion：This method of fibrinogen gel for treating sacral canal arachnoid cyst has advantages of easy performing,safety, achieve good results ,less neck symptoms and early commencing of mobilization.